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MD SB428

MD SB428
Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition


summary

Introduced
01/30/2026
In Committee
01/30/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

Prohibiting the Maryland Department of Health and certain carriers from imposing a copay, coinsurance, or deductible for services provided in accordance with the Collaborative Care Model statewide in primary care settings that provide health care services to Program recipients.

AI Summary

This bill prohibits the Maryland Department of Health and certain health insurance providers from charging patients any copayments, coinsurance, or deductibles for services received through the Collaborative Care Model, which is a statewide approach to integrating mental and behavioral health services within primary care settings for recipients of the Maryland Medical Assistance Program. The Collaborative Care Model involves care coordination, proactive monitoring of patient outcomes using standardized tools, and regular reviews of patient cases with mental health specialists. This prohibition applies to individual and group health insurance policies, contracts, and health maintenance organization plans issued or delivered in Maryland, with a specific exception allowing high-deductible health plans to still apply their deductible requirements to these services. The provisions related to insurance providers will take effect on January 1, 2027, while other parts of the bill become effective on July 1, 2026.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Senate Finance Hearing (13:00:00 2/18/2026 ) (on 02/18/2026)

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